Provider Demographics
NPI:1346269800
Name:STUCKI, DENNIS SCOTT (DDS)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:SCOTT
Last Name:STUCKI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:D.
Other - Middle Name:SCOTT
Other - Last Name:STUCKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:315 HILTON DR
Mailing Address - Street 2:SUITE #1
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-2319
Mailing Address - Country:US
Mailing Address - Phone:435-628-5001
Mailing Address - Fax:435-628-5042
Practice Address - Street 1:619 S BLUFF ST STE 400
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3970
Practice Address - Country:US
Practice Address - Phone:435-628-5001
Practice Address - Fax:435-628-5042
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT51310131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice